<!DOCTYPE html>
<html lang="en">
<head>
    <meta charset="UTF-8">
    <title>Title</title>
</head>
<body>
<div id="printBody">
    <p align="center"><b>成都宜安客打款单</b></p>
    <p align="center">流水编号：&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;年  月  日       第  次打印</p>
    <table border="1" cellpadding="0" cellspacing="0" align="center">
        <tr>
            <td>申请ID号：</td>
            <td>注册手机号：</td>
            <td>累计提现次数：</td>
            <td>角色：</td>
        </tr>
        <tr>
            <td>收款单位/用户名</td>
            <td colspan="3"></td>
        </tr>
        <tr>
            <td>收款单位开户行</td>
            <td colspan="3"></td>
        </tr>
        <tr>
            <td>账号</td>
            <td colspan="3"></td>
        </tr>
        <tr>
            <td colspan="2">付款金额（大写）：</td>
            <td colspan="2">￥</td>
        </tr>
        <tr>
            <td colspan="4">付款性质：</td>
        </tr>
        <tr>
            <td>备注：累计入账金额：</td>
            <td>历史已提现金额：</td>
            <td>已冻结金额：</td>
            <td>本次提现后的余额：</td>
        </tr>
    </table>
    <p align="center">会计:&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;出纳：&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;发起人：&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;&emsp;</p>

</div>
<p align="center" onclick=""><button>打印</button></p>

</body>
</html>